scholarly journals 908 Personal Protective Equipment (PPE) Guidance During A Global Pandemic: A Statistical Analysis of National Perceived Confidence, Knowledge, And Educational Deficits Amongst U.K. Based Doctors

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
S Al-Hity ◽  
N Bhamra ◽  
R Kumar ◽  
K Gupta ◽  
J Howard ◽  
...  

Abstract Introduction March 11th, 2020 saw the World Health Organisation declare a global pandemic following the eruption of the novel coronavirus disease 2019. Unprecedented global demand for personal protective equipment (PPE) was complicated by limited availability and conflicting guidance from healthcare bodies. This study aimed to assess perceived confidence and knowledge of Public Health England’s PPE guidance amongst doctors of varying specialties and grades. Method A nationwide 11-point survey comprising of multiple-choice questions (MCQs) and a Likert scale assessing perceived confidence (1=not confident, 5=very confident) was disseminated to U.K. based doctors using multiple platforms. Results Data collated from 697 respondents revealed average perceived confidence was low. Notably, 59% felt they had received insufficient education regarding up-to-date guidance, with 81% advocating further training. Anaesthetics and ophthalmology were the highest and lowest scoring specialties in knowledge based MCQs, achieving 59% and 31% respectively. Subsequent statistical analysis revealed significant differences between specialties." Conclusions Ensuring consistency in published PPE guidance and education can develop doctor’s confidence and knowledge of appropriate PPE use. The absence of a unified consensus and global education regarding the use of PPE poses significant ramifications for patient and healthcare professional (HCP) safety whilst risking further depletion of already sparse resources.

2021 ◽  
Vol 30 (1) ◽  
pp. 16-22
Author(s):  
Navdeep Bhamra ◽  
Keshav Gupta ◽  
Jonathan Lee ◽  
Shams Al-Hity ◽  
Karan Jolly ◽  
...  

Background: On 11 March 2020, the World Health Organization (WHO) declared a global pandemic in the wake of the coronavirus disease 2019 (COVID-19) outbreak. The unpredictable nature of transmission of COVID-19 requires a meticulous understanding of guidance on personal protective equipment (PPE) as published by WHO and Public Health England (PHE). Aim: To assess perceived confidence and knowledge of PHE guidance relating to PPE by nursing staff. Methods: A nationwide survey was disseminated between May and June 2020 through social media platforms as well as internal mail via regulatory bodies and individual hospital trusts. Results: Data were collated from 339 nurses. Perceived confidence as measured on a Likert scale was a mode score of 3/5, with the average score for knowledge-based questions being 5/10. Of the respondents, 47% cited insufficient training on PPE guidance, and 84% advocated further training. Conclusions: Unifying published PPE guidance and ensuring consistency in training can improve awareness, confidence, and knowledge among nursing staff.


2021 ◽  
Author(s):  
Hatice İkiışık ◽  
Yasemin Çağ ◽  
Mehmet Akif Sezerol ◽  
Aral Surmeli ◽  
Yusuf Taşçı ◽  
...  

Abstract Background: Global pandemic of novel Coronavirus Disease (SARS- COV-2) has spread across all continents and infected almost 80 million people. Since it is a novel disease, unknowns about the disease characteristic, treatment and length of immunity still persist. This study aims to characterize reinfection, personal protective equipment use and disease progress in healthcare workers in İstanbul. Methods: 23 healthcare workers who had confirmed negative PCR results after infection and another positivity later were questioned about both infection progress, their symptoms and treatment through an online questionnaire. Results: While the symptoms during both courses did not change drastically, 73.9% were treated as outpatient during the first infection while all but one (95.7%) were treated as such during second time around. Median time between two infections were 106 days. All participants were cleared of disease and none had to be treated in intensive care unit. Conclusion: Use of personal protective equipment was found subpar compared to World Health Organization recommendations. This is the first study from Turkey characterizing reinfected cases in healthcare workers.


Author(s):  
Prachi Gupta ◽  
Abhinav Garg ◽  
Lovejeet Ahuja

The global pandemic Novel Coronavirus Disease (COVID-19), which originated in Wuhan, has affected the countries worldwide and has been declared as a public health emergency by World Health Organisation. Because of the exclusive features of dental healthcare set-ups, risk of cross-contamination is greater between patients and dental personnel due to high chances of getting in contact with suspected or asymptomatic COVID-19 patients. Preventive measures are essential to be taken for prevention of furthermore spread of nosocomial infection. The present article provides a brief overview on COVID-19 in dental settings and recommended protocols for screening/assessment, patient management and precautions for dental health care professionals.


2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
A Aladeojebi ◽  
H Salgaonkar ◽  
D Murcott ◽  
C Cheruvu

Abstract Introduction In March 2020, the World Health Organisation declared a global pandemic with the outbreak of a novel coronavirus. As the morbidity and mortality rates increased, the healthcare system was burdened with grave challenges including decisions on how to manage patients who needed emergency surgery during the pandemic. In the absence of clear guidelines and undetermined effects of peri-operative COVID-19 infection on surgical patient outcomes; our aim was to publish our surgical outcomes for emergency appendicentomies done during the pandemic. Method Prospective data was collated from 1st of March to 5th of June 2020 (n = 132) had appendicectomies over the period stated. Patient demographics, presenting symptoms, peri-operative events, investigations, and post-operative results and complications were documented and analysed. The results were then compared with outcomes of retrospective analysis at the same centre (n = 206) carried out from 1st March to 30th June 2019. Results The incidence of complications of appendicitis were similar without any significant differences. The negative appendix rate was significantly lesser in 2020 group, which may correlate to strict patient selection criteria for surgery. Conclusions Under strict selection protocols to reduce transmission of COVID- 19 and best surgical practice emergency appendicectomy is safe and feasible. However these observations warrant further well-designed future studies.


2020 ◽  
Vol 1 (2) ◽  
pp. 125-132
Author(s):  
Mathew Nyashanu ◽  
Tistsi Tsopotsa ◽  
Scovia Nalugo Mbalinda ◽  
Gemma North ◽  
Maureen Mguni ◽  
...  

The first cases of the novel coronavirus disease (COVID-19), previously known as 2019-nCoV, were reported in late December 2019 in Wuhan, China (Wu, Zhao, Yu B, et al 2020). The virus then spread to Malaysia and Thailand and eventually to the Americas, Europe, Australia and Africa. On the 11thof March 2020 the World Health Organisation (WHO) declared the COVID-19 a global pandemic. This concept paper  explores the potential impact of COVID-19 on poverty stricken and conflict-ridden communities in Sub-Sahara Africa. In doing so, the paper also explored the implications for public health professionals working with these communities, including recommendation for future policy development.


Author(s):  
Subha Bose Banerjee

Novel coronavirus disease (COVID-19) is the major health crisis in the world. World Health Organisation has declared COVID-19 as a global pandemic. There are no effective drugs to treat COVID-19 infection. Till date include remdesivir, umifenovir, favipiravir, lopinavir/ritonavir, ribavirin, hydroxychloroquine, etc. are used to treat this disease. There is an urgent need for public health measures, not only to limit the spread of the virus, but also to implement preventive approaches to control severe COVID-19 disease. Most drugs on the market have shown unwanted symptoms and toxic effects related to these drugs. In this situation people are searching for safe herbal extracts and pharmacologically active molecules having numerous therapeutic properties. Garlic (Allium sativum L.; Family: Amaryllidaceae) is an aromatic herbaceous annual spice with numerous therapeutic properties. Garlic is one of the most efficient natural antibiotics against the wide spectrum of viruses and bacteria. Organosulfur (e.g. allicin and alliin) and flavonoid (e.g. quercetin) compounds are responsible for immunomodulatory effects of this healthy spice. The viral replication process is accelerated with the main structural protease of severe acute respiratory syndrome corona virus-2 (SARS-CoV-2). The formation of hydrogen bonds between this serine-type protease and garlic bioactives in the active site regions inhibits the COVID-19 outbreak. Intake of garlic and its derived-products in regular diet as an adjuvant therapy may minimise side effects and toxicity of the main therapeutic drugs of COVID-19 infection.


2020 ◽  
Vol 7 (10) ◽  
pp. 1498
Author(s):  
Dhairya P. Nanavaty ◽  
Ankushi A. Sanghvi ◽  
Manav S. Mehta ◽  
Sarbari Gupta ◽  
Gurusharan Dumra

Background: The World Health Organisation declared the novel coronavirus (COVID-19) outbreak as a global pandemic on March 11, 2020.  The consumption of vitamins, especially C, D, and zinc, hydroxychloroquine, and Arsenicum album 30 (homeopathy), has increased tremendously. However, the clinical trial showing the benefits of these agents is still underway though there have been a lot of discussion about these in print, electronic, and social media.Method: A questionnaire-based observational study was conducted. The participants were inquired about the use of any type of immunity booster by them and the source of information regarding the same. The data was analysed using Excel and Python.Results: Our study included 1147 participants. A dramatic increase of 21.97% in the consumption of immunity-boosting agents after the COVID-19 outbreak was observed, maximally in Ayurveda. The major source of information for immunity-boosters was provided by friends/family/relatives (50.4%). 52.7% of the respondents selected Ayurveda as their preferred choice of immunity booster (prophylaxis). If the respondents were to develop any of the COVID-19 symptoms, the majority (45.1%) decided to contact their family doctor, and 53.7% chose Allopathy as their preferred system for treatment. 91.5% of the respondents agreed to take a vaccine if it develops.Conclusion: There has been a boom in the immunity booster drug market because people are selecting immunity boosters despite no scientific background. It is imperative to educate people regarding the same and also conduct research studies to find benefits, if any.


2020 ◽  
pp. 20200062
Author(s):  
Anne G Carroll ◽  
Nuala Quinn ◽  
Carl Byrne ◽  
Ghadir Kassab ◽  
Siobhan Whelan ◽  
...  

The current global pandemic of the novel coronavirus SARS-CoV2 is a threat to the health and lives of millions of people worldwide. The latest statistics from the World Health Organisation show that there have been 6,515,796 confirmed cases worldwide with 387,298 confirmed deaths (last update 5 June 2020, 10:41 CEST). The majority of critically unwell patients with SARS-CoV2 are adults and the radiological findings associated with them are consistent throughout the literature. However, the reported paediatric cases are few, and as such, there is a limited body of evidence available. More international data is needed, not only on the clinical presentation, but also the radiological findings, so that health-care providers are better able to understand and diagnose this pandemic disease. We describe a case of a previously healthy 9-year-old female who presented to the Emergency Department with symptoms suggestive of raised intracranial pressure. Her CT revealed a medulloblastoma and post-operatively she tested positive for SARS-CoV2. She had a rapid deterioration in her clinical condition and required admission to the intensive care unit (ICU). We provide the supporting radiology along her clinical course in order to demonstrate important insights into this disease in children, including the unusual pnemomediastinum complications which occurred as part of her clinical course. This case is the first reported of its kind.


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